Clinical and structural results of partial supraspinatus tears treated by subacromial decompression without repair.

Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA
Dennis LiemGunnar Möllenhoff

Abstract

Patients with primary impingement and articular sided partial tears of the supraspinatus are often treated by subacromial decompression without repair, if the extent of the tear is estimated to be below 50% of tendon thickness. It has been questioned whether repair of these cuff lesions is necessary, because these tears could progress to full thickness tears with deteriorating clinical results. Our hypothesis was that subacromial decompression without repair of the supraspinatus tendon leads to significant clinical improvement for patients with grade I and II articular sided tears without progression to a full thickness tear on a regular basis. 46 consecutive patients (av. Age 59.2 years, range 33-76.6 years) were retrospectively reviewed after an average follow up of 50.3 months (36-86 months). 26 patients (43.5%) had a grade I tear according to Ellman, which was left alone, 20 patients suffered from a grade II tear, which was debrided. Clinical outcome was assessed with the ASES Score and ultrasound evaluation was performed on all patients to detect possible progression to a full thickness tear. The average ASES Score significantly improved from 37.4 to 86.6 points (p < 0.0001). The mean postoperative Constant Score was 87.6 ...Continue Reading

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Citations

Jan 14, 2011·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Young-Jin SeoJae-Hyung Lee
Nov 18, 2011·Sports Medicine and Arthroscopy Review·Francesco FranceschiVincenzo Denaro
Dec 4, 2012·International Journal of Shoulder Surgery·Ahmed S EidAndrew F W Chambler
Jan 23, 2016·Der Orthopäde·D LiemT Vogler
Aug 9, 2011·The Journal of Hand Surgery·Claudius D Jarrett, Christopher C Schmidt
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Feb 8, 2011·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Eric J StraussNikhil N Verma
Feb 23, 2010·Journal of Shoulder and Elbow Surgery·Ryan P Finnan, Lynn A Crosby
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Apr 23, 2020·Journal of Family Medicine and Primary Care·Amir Sobhani Eraghi
Apr 15, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Frank MartetschlägerMarkus Leibe
Aug 7, 2021·Arthroscopy Techniques·Nicholas J Sacksteder, Larry D Field

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